Deliruim 1 Flashcards

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1
Q

Delirium

A

An organic acute and relatively sudden decline if focus and attention

Can be life threatening and emergency

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2
Q

Delirium causes

A
Infection 
Anaesthesia 
Brain injury
Poisoning
Allergic response 
Medication side effects
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3
Q
Delirium type
Onset
Progresion
Duration
Alertness
Orientation
Memory
Cognition
Perception
Sleep
A
Onset acute
Duration hour to 1 month
Alertness fluctuate 
Orientation fluctuates based on severity
Memory recent and immediately impaired
Cognition disorganised slow 
Perception distorted illusion 
Sleep twilight syndrome kr sundowners
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4
Q

Dementia

A

Acquired, organic, progressive decline in cognitive function

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5
Q

Dementia causes

A

Not disease but mental illness
May or may not be reversible
Affects brain functions
Higher function afftected first : problem solving
Disoriented tine and place and person in life
Behavioral ( aggressive depression anxiety

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6
Q

Dimentia. Types

A

Alzheimer’s disease

Vascular dementia

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7
Q

Alzheimer

A

Cause of progressive dementia through plaques and tangles in the neurons of the brain

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8
Q

Vascular

A

Interruption of blood supply to the brain(stroke or cardiovascular disease)

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9
Q
Dementia 
Progress 
Onset
Alertness 
Orientation 
Memory 
Cognition 
Perception 
Sleep
A
Progress slow but even
Duration months to years
Onset chronic
Alertness normal
Orientation impaired 
Memory recent
Cognition difficultly with abstract
Perception absent or altered
Sleep disturbed
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10
Q

Dementia diagnosis

A

Doesnt rule out delirium

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11
Q

Depression

A

One of the Most common mental health

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12
Q

Anxiety

A

Overlooked especially in older people

While everyone feels anxious, some people feel this always

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13
Q

Depression and the older person

A

Older people tend to under report depressive symptoms which may lead to misdiagnosis
Physical illness
Alcohol and drug misuse
Physical, social and emotional changes faced

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14
Q

Depression and the older person

Progress 
Duration 
Onset
Alertness 
Orientation 
Memory 
Cognition 
Perception 
Sleep
A
Progress uneven
Duration at least 2 weeks to months or years 
Onset often abrupt
Alertness impairment
Orientation selective disorientation
Memory selective or patchy
Cognition hopeless
Perception hallucinations 
Sleep morning awakening
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15
Q

Community perception is that older people have less alcohol and other substance related problesy

A

Not true

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16
Q

Alcohol and the older person

A

Symptoms of alcohol intoxication are very similar to delirium of other sorts. Misdiagnosis can work both ways

17
Q

Long term alcohol abuse can lead to

A

Alcoholic dementia, lead to depression and permanently impact cognitive function

18
Q

Suicide and the older person men

Women

A

Olderem rate of suicide increases as age increases

50-54 for women

19
Q

Suciide and the olser person 2

A

There is less warning g, higher lethality , less history of previous attempts
Greater prevalence of physical illness

Reason 
Loss and grief ( widow)
A sense of loss of purpose
Hopeless
Isolation
Depression
20
Q

Confusion

A

Uncertainty

21
Q

Illusion

A

Alteration of sensory perception

22
Q

Delusion

A

Belief are not supported by evidence

23
Q

Hallucinations

A

False sensory perception eithout external or objective stimuli

24
Q

Misinterpretation

A

Drawing unusual conclusions from information

25
Q

Psychosis

A

Cluster of symptoms resulting to loss of contact with reality

26
Q

Thought disorder

A

Flow of though interrupted